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The impact of COVID-19 outbreak on the Transfusion Medicine Unit of a Northern Italy Hospital and Cancer Centre.
Schiroli, Davide; Merolle, Lucia; Molinari, Giuseppe; Di Bartolomeo, Erminia; Seligardi, Daniela; Canovi, Laura; Pertinhez, Thelma A; Mancuso, Pamela; Giorgi Rossi, Paolo; Baricchi, Roberto; Marraccini, Chiara.
  • Schiroli D; Transfusion Medicine Unit, AUSL-IRCCS di Reggio Emilia, Reggio Emilia, Italy.
  • Merolle L; Transfusion Medicine Unit, AUSL-IRCCS di Reggio Emilia, Reggio Emilia, Italy.
  • Molinari G; Transfusion Medicine Unit, AUSL-IRCCS di Reggio Emilia, Reggio Emilia, Italy.
  • Di Bartolomeo E; Transfusion Medicine Unit, AUSL-IRCCS di Reggio Emilia, Reggio Emilia, Italy.
  • Seligardi D; Transfusion Medicine Unit, AUSL-IRCCS di Reggio Emilia, Reggio Emilia, Italy.
  • Canovi L; Transfusion Medicine Unit, AUSL-IRCCS di Reggio Emilia, Reggio Emilia, Italy.
  • Pertinhez TA; Transfusion Medicine Unit, AUSL-IRCCS di Reggio Emilia, Reggio Emilia, Italy.
  • Mancuso P; Department of Medicine and Surgery, Università di Parma, Parma, Italy.
  • Giorgi Rossi P; Epidemiology Unit, AUSL-IRCCS di Reggio Emilia, Reggio Emilia, Italy.
  • Baricchi R; Epidemiology Unit, AUSL-IRCCS di Reggio Emilia, Reggio Emilia, Italy.
  • Marraccini C; Transfusion Medicine Unit, AUSL-IRCCS di Reggio Emilia, Reggio Emilia, Italy.
Vox Sang ; 117(2): 235-242, 2022 Feb.
Article in English | MEDLINE | ID: covidwho-1685460
ABSTRACT
BACKGROUND AND

OBJECTIVES:

The first wave of coronavirus disease-2019 (COVID-19) dramatically affected the Transfusion Medicine Unit of the Azienda Unità Sanitari Locale - Istituto di Ricovero e Cura a Carattere Scientifico (AUSL-IRCCS) di Reggio Emilia, which faced a total rearrangement of the procedures for donors and patients. This study aims to assess the major implications of COVID-19 on our department, focusing on the blood transfusion chain and therapies, in order to support transfusion specialists in seeking efficient ways to face similar future emergencies. MATERIALS AND

METHODS:

This retrospective study compares our Transfusion Medicine Unit data collected between February and May 2020 with the same period in 2017-2019. Data on red blood cells and platelets donations, transfusions and clinical procedures were collected as aggregates from our internal electronic database.

RESULTS:

During the lockdown, donor centres were re-organized to reduce the risk of contagion and avoid unnecessary blood collection. Blood donations were re-scheduled to meet the decrease in elective surgery; consequently, plateletapheresis was implemented to supply the reduction of buffycoat-derived platelets. Transfusions significantly decreased together with orthopaedic and vascular surgery, while they were only marginally diminished for both cancer and onco-haematological patients. Reduced procedures for inpatients and outpatients were matched by remote medicine, addressing the need of a constant healthcare support for patients with chronic diseases.

CONCLUSIONS:

The described measures were adopted to avoid excessive blood collection and expiration, guarantee the safety of our ward (for both patients and staff) and supply the necessary transfusion therapies. These measures may support the development of appropriate risk management plans and safety procedures for other hospitals and transfusion services that have to face similar events.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Transfusion Medicine / COVID-19 / Neoplasms Type of study: Experimental Studies / Observational study / Prognostic study Limits: Humans Country/Region as subject: Europa Language: English Journal: Vox Sang Year: 2022 Document Type: Article Affiliation country: Vox.13174

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Transfusion Medicine / COVID-19 / Neoplasms Type of study: Experimental Studies / Observational study / Prognostic study Limits: Humans Country/Region as subject: Europa Language: English Journal: Vox Sang Year: 2022 Document Type: Article Affiliation country: Vox.13174